Thompson's hip hemiarthroplasty for neck of femur fracture: remarkable clinical outcomes at 45-year follow-up

Description

We present very interesting X-ray images of a 96-year-old woman with previous neck of femur fracture treated with Thompson's hip hemiarthroplasty 45 years ago with excellent clinical outcomes, making it one of the longest reported follow-up in the literature. She had a recent fall and presented to emergency department with difficulty weight bearing. Her clinical examination revealed symmetrical passive hip range of movements with tenderness in the pubic region. Her medical history included hypertension and left hip neck of femur fracture 45 years ago. She lives alone, fully independent with activities and mobilises independently unaided. Anteroposterior pelvic radiographs (figures 1 and 2) demonstrate left superior and inferior pubic rami fractures with well-fixed left hip Thompson's hemiarthroplasty in situ with mild acetabular erosion and no evidence of loosening. She was treated conservatively with analgesia and physiotherapy and discharged into rehabilitation placement uneventfully.

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